Boundaries in Psychotherapy and Counseling: Ethical and Clinical Considerations
Fulfills requirement: Professional Ethics for all professions
This beginning/intermediate level course includes articles (available in text and audio formats) on the topic of therapeutic boundaries in psychotherapy and counseling. The course discusses the definitions of boundary crossings versus boundary violations and how to differentiate among boundary crossings, boundary violations, and dual relationships in psychotherapy.
The course will explain how gifts, dual or multiple relationships, home visits, self-disclosure, bartering, and non-sexual touch are all boundary crossings but are not necessarily boundary violations. When conducted with the welfare of the clients in mind, boundary crossings can be an integral part of an ethical and clinically sound treatment plan. The course includes Dr. Zur’s guidelines for how to consider boundary crossings. Six hypothetical case scenarios illustrate how clinicians should carefully review common therapeutic boundary situations, including business dual relationships, clients’ gifts, outside encounters, and digital experiences.
Although not officially part of the course, a summary brochure is provided as an extra resource which can be given to supervisees, supervisors and administrators, and when appropriate, clients.
Educational Objectives
This course will teach the participant to
- Identify the complexities and potential risks and benefits involved in bartering arrangements, dual relationships, gift-giving, and touch in psychotherapy.
- Utilize guidelines for handling bartering, dual relationships, gift-giving, and touch in therapy.
- Carefully consider key ethical and clinical issues involved in case scenarios involved in boundary crossings.
Syllabus
- Professional Boundaries in Counseling and Psychotherapy
- Boundary crossings versus boundary violations
- Factors influencing boundaries in therapeutic relationship
- Types of boundary crossings
- Self-disclosure
- Gifts
- Touch
- Bartering
- Out-of-office experiences
- Dual/multiple relationships
- Faulty beliefs about boundary crossings and rebuttals
- Concern with therapeutic frame
- Slippery slope
- Power/exploitation
- Risk management
- Guidelines for Bartering, Gifts, Touch, and Dual Relationships with case scenarios
